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FAQ | International Self-Pay Patients

Services Offered

Q: What medical services are available at Joslin Diabetes Center for international patients?

A: We offer a wide range of diabetes-related services, including:

  • Endocrinology
  • Nephrology/Hypertension
  • Technology (Meter, Pump, Continuous Glucose Monitor)
  • Diabetes Education
  • Nutrition and meal planning
  • Exercise training
  • Eye services
  • Geriatric Services
  • Pediatric Services
  • Pregnancy
  • Pharmacy Education
  • Hypoglycemia (Diabetes related or non-diabetes)
  • Behavioral Health
  • Lipids
  • Special laboratory testing requests

Click here for full list of diabetes care services at Joslin Diabetes Center.

Q: What if I would like additional services that you do not offer?

A: Upon request, the international patient coordinator will assist in registering and scheduling appointments for you at other prestigious Harvard Affiliated facilities.

Insulin Pump Program

Q: I am interested in starting on an insulin pump. What is the process for this?

A: The process for starting on an insulin pump begins with an evaluation with an endocrinologist and a pump assessment with a diabetes nurse. These initial appointments are essential to understand the expectations and responsibilities that come with wearing a pump. The following appointments are scheduled:

♦ Appointment #1: 60-minute evaluation with an endocrinologist and a 90-minute assessment with a diabetes nurse. Once the insulin pump device has been ordered and delivered, the patient can expect the following appointments:

♦ Appointment #2: 120-minute appointment with a diabetes nurse to start the patient on the pump using saline. The patient will spend the next several days practicing wearing the pump to become acclimated to button pushing and changing infusion sets.

♦ Appointment #3: 60 minutes with a diabetes nurse to start on insulin.

♦ Appointment #4: 24-48 hours later, a 30-minute follow up with a diabetes nurse to review progress.

♦ Appointments #5 and #6: A 60-minute appointment with a registered dietician and a 60-minute appointment with an exercise physiologist are also essential to schedule before the patient leaves so that he or she can understand how to manipulate the pump based on eating and exercising.

Follow up is essential and we recommend international patients starting on pumps to follow up in 6 months to 1 year later.

Visiting Joslin

Q: How long will I need to stay at Joslin Diabetes Center?

A: The length of your stay depends on your condition and treatment.  We generally suggest giving yourself three to 10 days, in case you need additional testing or treatments after your consultation.  Patients interested in starting on an insulin pump should plan on two to three weeks.

Q: Where can I stay while receiving care at Joslin Diabetes Center?

A: We can recommend a number of local hotels for short term stay. Please click here for the full listing of lodgings with prices and contact information. We recommend booking your accommodations after you have made an appointment.


Q: What is the cost of care at Joslin Diabetes Center?

A: The international patient coordinator will provide you an estimate based on the services your clinical care will require. You will be required to pay this estimate upfront in order to hold your appointments.  Please note that this is only an estimate.   If additional fees are incurred, you are expected to pay them.

Q: Will my insurance cover the cost of services at Joslin Diabetes Center?

A: International concierge services are only available for self-pay patients.  International patients wishing to use their insurance can schedule an appointment by calling 617-309-2440 and speaking to our Centralized Appointment Office. Hours are Monday through Friday, 7:30am-5:30pm EST.

Q: Which services must be paid up front?

A: Self-pay patients are expected to pre-pay for all services prior to receiving care.

Interpreter Services

Q: Are interpreter services available at Joslin Diabetes Center?

A: Yes. Please let the international patient coordinator know if you would like an interpreter.

Medical Records

Q: How should I send my medical documents?

A: After you have filled out the application, the International Patient Coordinator will work with you to facilitate transfer for your medical documents.

Q: Can I send medical documents written in other languages?

A: No. All documents must be in English. We recommend that records are translated at home to avoid any delays.

Q: Does Joslin Diabetes Center translate medical documents?

A: No. It is the patient’s responsibility to provide documents in English.